Karley Alisa Anderson
Individual provider Active NPI Behavior Analyst · Medford, OR
NPI 1760879241 · NPPES record last updated Apr 22, 2015
Key facts
- NPI
- 1760879241
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 510 W. 11TH Street
Medford, OR 97501 - Phone
- (541) 773-3585
- NPI assigned
- Apr 22, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
510 W. 11TH Street
Medford, OR 97501
Mailing address
358 S. Oakdale
Family Solutions
Medford, OR 97501
Phone (541) 776-5793
Other names
- Karley Alisa Wasmund
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.